Active NPI
Debbie K Hawryliak, LMT
- Mechanotherapist
- Kea'au, HI
National Provider Identifier
1114222544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- MAT-11499
- Practice address
- 15-1034 Kilika Rd
Keaau, HI 96749-7109 - Phone
- (808) 769-3530
- NPI assigned
- Jan 15, 2011
- Last updated
- Jan 15, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | MAT-11499 | HI | Primary |
Addresses
Primary practice location
15-1034 Kilika Rd
Keaau, HI 96749-7109
Mailing address
PO Box 34
Keaau, HI 96749-0034
Phone (808) 769-3530
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MAT-11499 | HI | MD | Mechanotherapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295049600000",
"number": "1114222544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34",
"city": "KEAAU",
"state": "HI",
"postal_code": "967490034",
"telephone_number": "808-769-3530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15-1034 KILIKA RD",
"city": "KEAAU",
"state": "HI",
"postal_code": "967497109",
"telephone_number": "808-769-3530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWRYLIAK",
"first_name": "DEBBIE",
"middle_name": "K",
"name_prefix": "Ms.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-15",
"last_updated": "2011-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "HI",
"license": "MAT-11499",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kea'au, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.